17108
CPT/HCPCSDestruction of birthmark, more than 50.0 sq cm
Physician Fee Schedule
Facility
Medicare Payment
$401.40
Submitted Charge$2,335.76
Medicare Allowed$514.80
Providers72
Beneficiaries162
Total Services274
Office
Medicare Payment
$491.04
Submitted Charge$1,152.66
Medicare Allowed$628.93
Providers175
Beneficiaries2,226
Total Services5,835